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Office of the New York State Comptroller’s Seal

NYS Comptroller

Thomas P. DiNapoli

Preparing for Retirement

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Part Three: Request an Estimate

Request an Estimate


Section 8 image of section 8 of Request for Estimate form

The most important section of this form is number 8, “Information About Your Public Employment and Memberships.” Fill it out accurately and completely.

If you need more space, feel free to attach another sheet.